| Valley Neurology Clinic Sc | |
|
555 S Washburn St Oshkosh WI 54904 | |
| (920) 236-3201 | |
| (920) 236-3203 |
| Full Name | Valley Neurology Clinic Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 555 S Washburn St, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Ahmad Y Haffar (PRESIDENT) |
| Authorized Official Contact | 9202363201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Neurology Clinic Sc 555 S Washburn St Oshkosh WI 54904 Ph: (920) 236-3201 | Valley Neurology Clinic Sc 555 S Washburn St Oshkosh WI 54904 Ph: (920) 236-3201 |
| NPI Number | 1952442394 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952442394 | NPI | - | NPPES |
| 21360900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 23069 (Wisconsin) | Primary |
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